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Standardized Testing Flashcards

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1
Q

What are the 7 purposes of standardized tests?

A
  • Screening tool
  • Determining a diagnosis
  • Facilitate planning of a treatment program
  • Help the parents understand the child’s limitations
  • ID areas that may need further evaluation
  • Monitor progress and determine goal achievement
  • Research
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2
Q

What are 10 common pediatric assessment tools?

A
  • Gross motor functional classification system
  • Gross Motor Functional Measure (GMFM)
  • Peabody Developmental Motor Scales-2
  • Bruininks-Oseretsky Test of Motor Proficiency 2
  • Movement ABC-2
  • MUllen Scales of Early Learning
  • PEDI
  • WEEFIM
  • Pediatric BERG balance scale
  • Six Minute Walk Test
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3
Q

What are the 5 levels of the gross motor function classification system (expanded and revised)?

A

1: Walks without limitations
2: Walks with limitations
3: Walks Using a hand Held Mobility Device
4: Self-Mobility with Limitations; may use power mobility, manual wheelchair, tilt in space
5: Transported in a manual wheelchair

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4
Q

What populations is the GMFCS - E & R used to classify?

A

Children with cerebral palsy

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5
Q

What populations does the Gross Motor Function Measure evaluate?

A
  • Children with CP and DS
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6
Q

What does the GMFM describe?

A
  • Current level of motor function

- (determines treatment goals)

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7
Q

What age ranges is the GMFM validated for?

A

5 months - 16 years

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8
Q

What functional mobility and/or ambulation is measured by the GMFM?

A
  • Lying and rolling
  • Sitting
  • Crawling
  • Standing
  • Walking
  • Running
  • Jumping
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9
Q

If a child scores a 100% on the GMFM, what level are they at least functioning at?

A

The level of a normal 5 year old

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10
Q

How long does the GMFM take to administer?

A

45 - 60 minutes

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11
Q

What is the administration procedure of the GMFM?

A
  • Each section administered individually (demonstration with 3 trials)
  • Scored based on 4 point scale that measures how much of the item the child completes
  • Dimension scores and total scores are achieved and then converted into the percentage of the max score for that dimension
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12
Q

What are 3 pros of the GMFM?

A
  • Developed for children with CP
  • Concerned with quantity of movement, not quality
  • Measures change over time
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13
Q

What are 3 cons of the GMFM?

A
  • No normative data
  • Directions regarding support with arms are not clear
  • Many items scored based on length of time in a position or length of the movement which may not correlate to functional movement
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14
Q

How is quality of movement scored in GMFM?

A

Not; make notes using observation

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15
Q

What is the purpose of the PEabody Developmental Motor Scales (PDMS) 2nd edition?

A
  • Determine motor skill level, detect small changes over time, assist in pOC
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16
Q

What is the age range of the PDMS?

A

1 - 72 months

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17
Q

What are the 4 components of the general motor scale of the PDMS?

A
  • Reflexes
  • Sationary
  • Locomotion
  • Object manipulation
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18
Q

What are the 2 components of the fine motor sclae of the PDMS?

A
  • Grasping

- VIsual-motor integration

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19
Q

Do OTs or PTs administer the fine motor scale portion of the PDMS?

A
  • Either can administer
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20
Q

How much time is required to administer PDMS-2?

A
  • 45 - 6 minutes
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21
Q

How is the PDMS-2 administered?

A
  • 3 point scale
  • Start at age level indicated in test, and score to basal of 3-2’s and ceiling of 3-0’s
  • Raw scores convert to age equivalent percentiles, and standard scores
  • Standard scores convert to composite scores of motor performance: GM, FM, and total motor quptients
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22
Q

What are the 6 pros of the PDMS-2?

A
  • General guidelines for modifying test
  • Distinguishes between GM and FM skills
  • Test broken down into different areas to ID strengths and needs
  • Accounts for emerging skills
  • Subtest standard scores can be displayed on chart
  • Scoring booklet has abbreviated directions and scoring criteria for each item
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23
Q

What are the 4 major cons of the PDMS-2?

A
  • Does not include quality of movement
  • Majority of testing materials are provided by the examiner
  • Some materials are not easily acquired and descriptions can be vague
  • Motor activities program book may encourage teaching test items
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24
Q

What is the purpose of the movement assessment battery for children (movement ABC)-2?

A
  • Identify and describe impairments of motor function in children
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25
What is the age range for the ABC-2?
3 - 12 years
26
What are the 3 areas tested in the ABC-2?
- Manual dexterity - Ball skills - Static and dynamic balance
27
What is found on the checklist of the movement ABC-2?
- ADLs, movement within the environment, gameplay - Behavioral attributes - Context of performance
28
Who administers the movement ABC-2 checklist?
- Parents - Teachers - Other professionals
29
How long does it take for the movement ABC-2 checklist to be completed?
1 - 2 weeks
30
How long does administration of the performance portion of the movement ABC-2 take?
20 - 40 minutes
31
How many age bands are in the movement ABC-2? Does it use chronological or developmental age?
3 bands; chronological age
32
What are the 7 pros of the movement ABC-2?
- Qualitative and quantitative data - Tasks are interesting to the child - Ability to record behavioral factors that may interfere with evaluation - One kit houses majority of materials - Intervention guidelines are provided - Checklist gives info about how child functions in group setting - Photos for each item clarify written instructions
33
`What are 6 cons of the movement ABC-2?
- Scoring varies with each task - Limited number of items administered - Expensive - Limited validity studies - Does not identify incremental changes in function - Unable to purchase replacement pieces
34
What is the purpose of the Bruinks Oseretsky Test of Motor Proficiency-2 (BOT-2)?
- Assess development of motor skills in children
35
What is the age range of the BOT-2?
4 - 14 years of age
36
What is the time of administration of the BOT-2?
45 - 60 minutes
37
What are the 8 areas tested in the BOT-2?
- Bilateral coordination - Balance - Running speed and agility - Strength - Fine motor precision - Fine motor integration - Manual dexterity - Upper-limb coordination
38
What are the 7 pros of the BOT-2?
- Norm referenced - Standardized kit with all equipment needed - Pictures of items for demo - Strong interrater reliability & test-retest reliability - Large normative samples which included children with disabilities - Short form of the BOT-2 available - Separate gross and fine motor composite scores for comparisons
39
What are the 2 cons of the BOT-2?
- May be difficult to administer to younger children | - Instructions are difficult for some children
40
What age ranges does the Mullen Scales of Early Learning: AGS edition test?
- Infants and pre-school children | birth - 68 monthsa
41
What 5 areas does the Muellen scale of early learning: AGS provide normative scores for?
- Gross motor - Visual reception - Fine motor - Receptive language - Expressive language
42
What is the purpose of the Mullen scale of early learning: AGS?
- Single composite representing general intelligence
43
What is the method of administration of Mullen scales?
- Suggested starting points for different ages - Basal level - 1 point on 3 consecutive items - Credit child with maxmium points for all items below basal level - Ceiling level- zero points on 3 consective items
44
What are the 3 standard methods of interpretation of mullen scales?
- T-scores - Percentile ranks - Age equivalents
45
What are the 5 pros of the Mullen scales?
- Distinguishes between GM and FM skills - Provides clear instruction for administering - Test broken down into different areas to ID strengths and needs - Can be used as screening tool - Easy to administer
46
What are 4 cons of the Mullen scales?
- Need to use test items provided - Gross motor section - limited number of items - Screening tool - further evaluation needed - Does not include quality of movement, especially gross motor section
47
What is the purpose of the Pediatric Evaluation of Disability Inventory (PEDI)?
- Determine functional capabilities and performance - Monitor progress - Evaluate outcomes in children with disabilities
48
`What is the age range of the PEDI?
6 months to 7 years, 6 months
49
What are the 4 areas tested in PEDI?
- Self care - Mobility - Social Function - Modification scale and caregiver assistance scale
50
How is the PEDI administered?
- Via parent report, structured interview, or observation of child's function - For functional skills - binary scoring system - For caregiver assistance - 6 point scale (independent to total assistance) - Modification scale - frequency count of adaptations used - For the first 2 above, able to obtain standard and scaled scores
51
How long does it take to administer the PEDI?
20 - 60 minutes
52
What are the 5 pros of the PEDI?
- Reliable and valid assessment of function in children with cognitive and physical disabilities - The focus is on function and level of independence - Looks at amount of assistance to accomplish task - Children receive credit for mastery of components of the complex skills - Scoring assistance available via computer program
53
What are the 2 cons of the PEDI?
- Differences may exist between caregiver and therapist on some items - Requires additional research on larger samples with more diverse disabilities
54
What is the purpose of the functional independence measure for children (WEEFIM)?
Determine severity of the child's disability, measures caregiver assistance to perform functional activities
55
What is the age range of the WEEFIM for children without disabilities?
0.5 - 8 years
56
What is the age range of the WEEFIM for children with developmental disabilities?
0.5 months - 12 years
57
What is the mental age of a children to qualify for the WEEFIM regardless of age?
7 years
58
What areas are tested by the WEEFIM?
- Motor - Self-care - Spinchter control - Transfers and locomotion - Cognitive - communication - Social interactions
59
How is the WEEFIM administered?
- Each subdomain scored from total assist to complete independence - Performed through observation or report from caregiver
60
How long does the WEEFIM take to administer>?
10 - 20 minutes
61
What are the 6 pros of the WEEFIM?
- Potential to provide continuity between pediatric and adult functional measures - Easy to administer - Facilitates communication between those involved in the child's care re:function - Considers caregiver assistance - Training tape - Certification process
62
What are the 5 cons of the WEEFIM?
- Does not account for environmental modifications - Focus is on completion of daily activities - no credit for portions of this - Caregiver assistance alone may not be enough to guide clinical decision making - Based on an adult view of disability - Users must agree to use data collection and outcome reporting system

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